eye and ear

Question 1

what are the symptoms of bacterial conjunctivitis?

Answer 1

both eyes affected, sticky purulent discharge, red eye, gritty feeling

Question 2

what are the symptoms of viral conjunctivitis?

Answer 2

both eyes affected, more watery, red eye, gritty feeling, cold/flu symptoms

Question 3

what are the symptoms of allergic conjunctivitis?

Answer 3

both eyes affected, clear and watery discharge, red eye, itchy feeling, hayfever symptoms

Question 4

when would you refer someone with conjuctivits?

Answer 4

pain in actual eye
vision affected
contacted lenses
photophobia
foreign body in eye
eye/head trauma
eye surgery in past 6 months
eye inflammation associated with rash
dry eye sundrome

Question 5

what is the otc product for conjunctivitis 1st line and what age requirement is it?

what is the contraindication of this product?

Answer 5

chloramphenicol for over 2 yo

family history of blood dyscrasia
history of myelosuppression with chloramphenicol use

Question 6

what is the symptoms of otitis media?

how long does it last for?

Answer 6

throbbing headache
mucopurulent discharge
pain in mastoid area

self limiting - 3 days

Question 7

what are the symptoms of otitis externa?

Answer 7

swimmers ear
skin inflammation of ear canal - pain
itchy

Question 8

what are the symptoms of ear wax build up

Answer 8

temp deafness

ear discomfort/sensation that ear is blocked

Question 9

when would you refer someone with otitis media?

Answer 9

• pain doesn’t resolve with analgesics
• systemic symptoms
• no improvement after 72 hours
• high risk of serious complications
• children under 2 yo with bilateral otitis media

Question 10

when would you refer someone with otitis externa?

Answer 10

• deafness
• tinnitus
• vertigo
• blocked ears
• discharge
• n&v
• bleeding
  children under 12 yo

Question 11

when would you refer someone with ear wax build up?

Answer 11

• unusual discharge from ear canal
• persistant pain within the ear
• tinnitus
• otc failure

Question 12

what would you recommend for otitis media?

Answer 12

self limiting so just give analgesics

Question 13

what would you recommend for Otitis externa? what is the age requirement?

Answer 13

ear calm spray

12 yo+

Question 14

what would you recommend for ear wax build up?

Answer 14

sodium bicarbonate
olive oil/arachis oil
hydroxide peroxide
docusate